Weaver, Tristan Esben

Weaver, Tristan Esben is an individual health care provider with primary practice located at 410 W 10Th Ave , Columbus OH 43210-1240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Weaver, Tristan Esben can be contacted via phone (614) 293-8487.

Contact Information

Primary practice address
410 W 10Th Ave Columbus OH 43210-1240
Phone: (614) 293-8487
Fax: (614) 293-8153
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35126513 Ohio
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 35126513 Ohio

Profile Details

NPI number 1952613127
LBN Legal business name Weaver, Tristan Esben
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2010
Last updated Oct 8th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952613127 NPPES
Ohio MEDICAID PENDING

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